Integration of hamstring tendon graft with bone in reconstruction of the anterior cruciate ligament

被引:138
作者
Pinczewski, LA [1 ]
Clingeleffer, AJ [1 ]
Otto, DD [1 ]
Bonar, SF [1 ]
Corry, IS [1 ]
机构
[1] DOUGLASS HANLEY MOIR PATHOL, SYDNEY, NSW, AUSTRALIA
关键词
anterior cruciate ligament; hamstring tendon graft; histology; bone-tendon junction;
D O I
10.1016/S0749-8063(97)90194-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Anterior cruciate ligament (ACL) reconstruction using four-strand hamstring graft with round-headed, cannulated, interference (RCI) screw fixation requires osteointegration of the tendon graft. This report describes the histology at the bone-tendon junction of two specimens retrieved from patients undergoing revision surgery after traumatic mid-substance ACL graft rupture at 6 and 10 weeks after initial reconstruction. Revision was performed at 12 and 15 weeks. Integration of the graft was evident by observation of collagen fiber continuity between bone and tendon. This histology plus the low incidence of early graft failure suggest that free tendon autograft attached to bone by RCI screw allows adequate osteointegration between 6 and 15 weeks after surgery.
引用
收藏
页码:641 / 643
页数:3
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